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3 <br />Pr <br />Ir <br />i i <br />I <br />I: <br />I ’- <br />|v <br />kr <br />J-l:. .fj.: <br />!^- • <br />u-v <br />M- <br />t '•'' ■ ■ <br />■t' <br />I <br />'pr p <br />*'5- 'r*^ <br />r.;- <br />- <br />?f ■'•»., <br />K'::VV <br />(<••■. :■ <br />■ft.' <br />i <br />I <br />S' <br />i‘ <br />i.- <br />Jr. <br />i'-' <br />fi: <br />t <br />r- <br />%.... <br />CITY of ORONO <br />SEPTIC SYST^ INSTAU.ERS <br />(612) 473-7357 <br />Post Office Box 66 <br />Crystal Biy, MN 55323 <br />LICENSE application <br />(tift-ficste ofAll questions must be answers .. ^ an <br />insr arre, and evidence of MP^.- '.e.--•; :ati n ^tl^ScTied. All <br />applications are subject to a : .ii ( i ,ay ' proval period.-** <br />1. <br />2. <br />3. <br />4. <br />Business or trade name V idmer •_ <br />Business address P-O- Box Z:9, 4250 ■ .eek-vie.^ Circle, Sf,. Bonifacli^ MN 55375 <br />Business phone 1612) 446-1485 Residence phone —(612) .16b-o8 6^ <br />Name of applicant or company representative holding MPCA <br />certification ______________Anthony A. Vender Unde------------------------------ <br />5.Type of certification held: <br />Certificate expiration date <br />X Installer Pumper <br />12-31-94 <br />o.Have you ever held a Septic System Installer license in <br />Orono before? Yes Most recent year —L??l . <br />7.Have you ever had a license revoked? No <br />Where? __ _ _ _ _ _ _ _ _ _ _ _ —- - - - - - <br />When? <br />8. <br />9. <br />Do you do Municipal Sewer hook—ups? Yes <br />Do vou pump out septic tanks? Yes _ _ _ <br />X No »*" 7 T”V I <br />U J. / / V-'MUIIU <br />X <br />cr'fjM^irc ncpjrc <br />» JLfVmTUU \jt • AL/i- <br />f 7? fi ,.»X .1 vw <br />Vi <br />Ti-v’v u / fi.w n L.____ A. fc.' » <br />CCrC TOT^TUA'Aik VTf/MuLuii t f nntii\ » u'l->CL£ii # fnntit\ lu'i- <br />^"•y^TOn rAni OAj Tjuvvi nvi li <br />V'X./ X <br />SDB*UTTALS REQUIRED: <br />i/^l. $50.00 License application fee. <br />i/ 2. $2000.00 license and permit bond naming City of ^ <br />■ obligee. The State Plumbers Bond will not be ' <br />$50-100-300,000 minimum Certificate of Instance .c»p» y-f'7^ <br />Copy of current MPCA Certificate. <br />LICBHSES WILL NOT BE PROCESSED UNTIL ALL ITEMS ARE SOBMITTED <br />ziZ 4. <br />List persons oth-ar than applicant who are authorized by you to apply <br />for permits under your license SEE ATTACHED - - - - --- - - - - - - - <br />Date <br />The undersigned hereby mrkes appl.icat on to the City <br />Minnesota, for a license to install and repair septiv- syste , <br />and/or pump out septic tanks, subject to the laws of the S..at- of <br />Minnesota and the Ordinances of the Citv of Orono. <br />( \/ '■ / (y- ^Applicant's Signature _________LC-\ ■' ---------------------------- <br />. L ' <br />2-17-92 <br />CITY <br />USE <br />ONLY <br />Staff recommaniation Approval <br />Reason for denial: __ _ _ _ _ _ _ <br />City Council Acrion Date _ _ <br />Date license mailed _ _ _ _ _ _ _ <br />u <br />Denial Cite 2'^<3-9JL <br />Approved Denied <br />LI'